臺北市立聯合醫院安寧療護現況及未來需求分析

Community Hospice Service Analysis in Taipei City Hospital: Current Status and Future Needs Estimate

黃肇明(Chao-Ming Huang) ； 施華菁(Hua-Ching Shih) ； 劉嘉仁(Chia-Jen Liu) ； 黃勝堅(Sheng-Jean Huang) ； 黃遵誠(Tsun-Cheng Huang)

《北市醫學雜誌》 12卷附冊 (2015/06) Pp. 9-20

https://doi.org/10.6200/TCMJ.2015.12.SP.02

摘要

安寧療護自1980年引進台灣，在我國推動已有30餘年，讓臨終病人有機會尊嚴的走完人生最後一段旅程，使病人及家屬在身心靈上獲得適切的照護、引導與撫慰，達到生死兩無憾的目的。本文從健保支付標準、健保申報服務量、死亡人口等，探討我國的安寧療護執行現況，以及嘗試以死亡人數推估未來服務量需求，並建議後續應在人力培育、健保支付制度改革等方面深入探討改善，以使台灣安寧療護能達成五全照護的品質目標。

關鍵字

安寧療護 ； 生命末期 ； 社區居家安寧 ； 五全照護 ； 安寧療護支付標準 ； 全民健保

並列摘要

Hospice has been introduced and implemented in Taiwan since 1980. For the last 30 years, hospice services have provided the terminally-ill patients an environment to appreciate a dignified journey in the end of life, an appropriate care, and comfort and guidance for their body and soul and their families, leaving no regrets for both the dying and the living. In this paper, we explored the status of hospice service in Taiwan from the aspects of payment standard and the claimed service values of the general health insurance system, as well as from the existing qualified medical and related manpower for hospice services. In addition, we used the death toll in an attempt to estimate the expected number of personnel required to satisfy the future need of hospice services. Further studies should concern more on the improvement of personnel training and the payment system of general health insurance, so as to help reaching the aimed quality of holistic care.

並列關鍵字

hospice ； palliative care ； manpower ； reimbursement standard ； National Health Insurance